New Jersey Guardianship Form - Free Download
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Following are pro se forms to submit to the Cumberland County Surrogate’s Office when filing for
guardianship. There are two types of forms for the COMPLAINT, one for Incapacitation since Birth
and one for Incapacitation in Adulthood. Please note that incapacitation in adulthood encompasses
any incapacitation that occurred at a time other than at birth. You will file only ONE of these
forms, either “since Birth” or “in Adulthood” depending on which fits your situation. The ORDER
FOR HEARING will be the same regardless of which incapacitation form you file.
When using the forms you will see words italicized and underlined and blank spaces. Anywhere you
see these they are for you to fill in order to make the Complaint personal to your situation and to
what you are filing for. Please remove the italicized words and insert your specifics there.
If you have any questions regarding the filling in or filing of these forms, feel free to contact the
Cumberland County Surrogate’s Office at (856) 453-4800.
Rule 4:86-1. Complaint
The following information must appear in the complaint for guardianship. A sample Complaint follows.
Plaintiff ( Π ) A.M.I.P.* A.M.I.P.’s Spouse (if any)
Name Name Name
Age Age Age
Domicile (home) Domicile Domicile
Π’s relationship to A.M.I.P.
Π’s interest in Action
Names, addresses & ages of A.M.I.P.’s children, if any
Name(s) & address of person(s) or institution having the care of the A.M.I.P.
If lived in institution:
Period(s) of time A.M.I.P. has lived there
Date of commitment or confinement
By what authority committed or confined
Name & address of any person named as attorney-in-fact in any power of attorney executed by the
Name & address of any person named as health care representative in any health care directive
executed by the A.M.I.P.
Name & address of any person acting as trustee under a trust for the benefit of the A.M.I.P.
*A.M.I.P. Alleged Mentally Incapacitated Person
** G.a.l. Guardian ad litem